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Dizziness and weakness in IV fluids Check the client's blood pressure and heart rate Shakiness and sweating in diabetes Give the client orange juice or glucose tablets Pulse oximetry reading of 88%

Nurse's best initial action for a client rocking back and forth Action that promotes client's autonomy in therapeutic relationship Nurse's response demonstrating empathy to a client feeling misunderstood Client behavior requiring pause in discharge planning Finding indicating disturbance in sensorium and cognition Nurse's priority action for a client expressing worthlessness Behavior indicating progress in recovery from a psychotic episode

When assessing a patient with a partial-thickness burn, the nurse would expect to find (SATA): a. blisters b. exposed fascia c. exposed muscles d. intact nerve endings e. red, shiny, wet appearance Pain management for the burn patient is most effective when (SATA): a. a pain rating tool is used to monitor the patient's level of pain b. painful dressing changes are delayed until the patient's pain is completely relieved c. the patient is informed about and has some control over ...

First-line treatment for major depressive disorder due to their effectiveness and favorable side effect profile. Claiming exclusive understanding of a client by disregarding other Blurred boundaries staff input, which can lead to countertransference and ethical violations. The highest priority nursing intervention for a client in severe cognitive decline, as physiological needs are life-sustaining. An observation that may indicate unresolved distress, anxiety, or Fearful affect continuin

Intervention for bathing assistance Encourage the patient to wash as much Important action for oral care Assess the patient's level of consciousUnderstanding adaptive equipment use I will use a button hook to fasten my Finding to report immediately Pulse oximetry 88% on room air. Next action for elevated temperature Offer acetaminophen as prescribed. Next assessment for irregular radial pulse Obtain an apical pulse for 1 full minute. Drip rate calculation for Heparin IV

Regular oral hygiene is an essential intervention for the client who has had a stroke.Which of the following nursing measures is inappropriate when providing oral hygiene? A: Placing client on back with small pillow under the head B: Keeping portable suctioning equipment at the bedside C: Opening the client's mouth with a padded tongue blade D: Cleaning the clients mouth and teeth with toothbrush A 78 year old client is admitted to the ED with numbness and weakness of the left arm and...

Recent research on the RAISE approach to the treatment of schizophrenia incorporates which of the following elements as important to improving outcomes? (Select all that apply.) a. Early intervention at the first episode of psychosis b. Support for employment or educational pursuits c. Rapid high-dose loading with antipsychotic medication d. Court-ordered sanctions for treatment e. Recovery-focused psychotherapy Which of the following is the primary goal in working with an actively psyc...

A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar state (HHS) is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription? 1. Endotracheal intubation 2. 100 units of NPH insulin 3. Intravenous infusion of normal saline 4. Intravenous infusion of sodium bicarbonate

A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant.Which C. Rationale: Impaired bowel motility caused by surgical anesnursing diagnosis has the highest priority? A. Altered nutrition, less than body requirements for lactation B. ...

the oncoming nurse is receiving report on 4 clients. which should be the priority assessment A.) client who has a carotid endarterectomy that day with a blood A.) client who has a carotid endarterectomy that day with a blood pressure of 160/88 mm Hg pressure of 160/88 mm Hg B.) client who is 1 day post bowel resection with absent bowel sounds C.) client with a pulse of 109/min who has history of atrial fibrillation D.) client with pancreatitis whose total parenteral nutrition is almost fi...